中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
11期
1790-1791
,共2页
持续正压通气%面罩吸氧%重症毛细支气管炎%临床疗效
持續正壓通氣%麵罩吸氧%重癥毛細支氣管炎%臨床療效
지속정압통기%면조흡양%중증모세지기관염%림상료효
Continuous positive airway pressure%Mask oxygen%severe capillary bronchitis%Clinical curative effect
目的：观察持续正压通气治疗小儿重症毛细支气管炎的临床疗效。方法：小儿重症毛细支气管炎患者108例，通过计算机随机分组的方式将其分为实验组和对照组，每组均为54例。对照组给予常规治疗并给予经鼻导管吸氧，而实验组给予常规治疗并结合鼻塞式的持续正压通气，对比两组患者治疗2h后的血气分析值变化、治疗8d后的总体治疗效果及治疗过程中患儿喘憋消失所需时间、发生并发症的比例。结果：治疗2h后实验组患者的pH值、动脉氧分压均要显著高于对照组(P<0.05)、而实验组患者的二氧化碳分压要显著小于对照组(P<0.05)；实验组治疗8d后其总体治疗有效率也要显著高于对照组(P<0.05)；治疗过程中实验组患者的喘憋消失所需时间、发生并发症的比例也要显著小于对照组(P<0.05)。结论：持续正压通气治疗小儿重症毛细支气管炎疗效显著，安全性高。
目的：觀察持續正壓通氣治療小兒重癥毛細支氣管炎的臨床療效。方法：小兒重癥毛細支氣管炎患者108例，通過計算機隨機分組的方式將其分為實驗組和對照組，每組均為54例。對照組給予常規治療併給予經鼻導管吸氧，而實驗組給予常規治療併結閤鼻塞式的持續正壓通氣，對比兩組患者治療2h後的血氣分析值變化、治療8d後的總體治療效果及治療過程中患兒喘憋消失所需時間、髮生併髮癥的比例。結果：治療2h後實驗組患者的pH值、動脈氧分壓均要顯著高于對照組(P<0.05)、而實驗組患者的二氧化碳分壓要顯著小于對照組(P<0.05)；實驗組治療8d後其總體治療有效率也要顯著高于對照組(P<0.05)；治療過程中實驗組患者的喘憋消失所需時間、髮生併髮癥的比例也要顯著小于對照組(P<0.05)。結論：持續正壓通氣治療小兒重癥毛細支氣管炎療效顯著，安全性高。
목적：관찰지속정압통기치료소인중증모세지기관염적림상료효。방법：소인중증모세지기관염환자108례，통과계산궤수궤분조적방식장기분위실험조화대조조，매조균위54례。대조조급여상규치료병급여경비도관흡양，이실험조급여상규치료병결합비새식적지속정압통기，대비량조환자치료2h후적혈기분석치변화、치료8d후적총체치료효과급치료과정중환인천별소실소수시간、발생병발증적비례。결과：치료2h후실험조환자적pH치、동맥양분압균요현저고우대조조(P<0.05)、이실험조환자적이양화탄분압요현저소우대조조(P<0.05)；실험조치료8d후기총체치료유효솔야요현저고우대조조(P<0.05)；치료과정중실험조환자적천별소실소수시간、발생병발증적비례야요현저소우대조조(P<0.05)。결론：지속정압통기치료소인중증모세지기관염료효현저，안전성고。
Objective:To observe clinical curative effect of using continuous positive airway pressure to treat children severe capil ary bronchitis. Methods:Chose 108 cases of these children severe capil ary bronchitis patients who have been treated at our hospital from 2009 to 2012,divided them into experimental group and control group according to computer random grouping method,each group has 54 cases;Gave conventional treatment and nasal catheter oxygen to control group's patients,while gave conventional treatment combined with nasal continuous positive airway pressure to treat experimental group's patients,compared these two groups' patients' changes of sap analysis value after 2h of treatment,and their overal treatment effects after 8d of treatment,and children patients' dyspnea disappearance time and happening rate of complications.Results:Experimental group's PH values and pao2 were obviously higher than control group's patients' after 2h of treatment(P<0.05),and their partial pressure of carbon dioxide was evidently lower than control group's(P<0.05);Experimental group's overal treatment effective rate was significantly higher than control group's(P<0.05) after 8d of treatment;During the treatment process,experimental group's patients' dyspnea disappearance time and happening rate of complications were significantly less than control group's(P<0.05).Conclusions:Continuous positive airway pressure has significant curative effect on the treatment of children severe capil ary bronchitis,and it has high security.
